Dental cleaning behavior and related factors among hemodialysis patients in the West of Iran: A cross‐sectional study

Abstract Objectives Oral health‐related behaviors in hemodialysis patients are reduced, potentially leading to adverse consequences. The aim of the present study was to evaluate dental cleaning behavior (DCB) and related factors among hemodialysis patients. Methods This cross‐sectional study was car...

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Main Authors: Arezoo Fallahi, Aveen Fattah Hajimam, Azam Rahmani, Leila Allahqoli, Gerhard Schmalz, Babak Nemat
Format: Article
Language:English
Published: Wiley 2023-08-01
Series:Clinical and Experimental Dental Research
Subjects:
Online Access:https://doi.org/10.1002/cre2.745
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author Arezoo Fallahi
Aveen Fattah Hajimam
Azam Rahmani
Leila Allahqoli
Gerhard Schmalz
Babak Nemat
author_facet Arezoo Fallahi
Aveen Fattah Hajimam
Azam Rahmani
Leila Allahqoli
Gerhard Schmalz
Babak Nemat
author_sort Arezoo Fallahi
collection DOAJ
description Abstract Objectives Oral health‐related behaviors in hemodialysis patients are reduced, potentially leading to adverse consequences. The aim of the present study was to evaluate dental cleaning behavior (DCB) and related factors among hemodialysis patients. Methods This cross‐sectional study was carried out in Sanandaj city, in the west of Iran in 2022. Using the census method, 115 hemodialysis patients from the dialysis center of Tohid Hospital were recruited. Data were gathered by a three‐section questionnaire. The first section included demographic characteristics, the second section involved variables related to the health belief model (HBM), and the third section assessed stages of DCB change based on the trans‐theoretical model. Analysis of data was done by assessing frequency, descriptive and inferential statistics such as t test, correlation coefficient, and regression. Results Only 26.1% of participants reported DCB, defined as tooth brushing at least twice daily; 30.4% were in the precontemplation stage, 26.1% in contemplation, and 17.4% in the preparation stage. Perceived self‐efficacy was lower among patients who did not perform DCB. The odds of DCB increased with perceived self‐efficacy (odds ratio [OR] = 1.51, 95% confidence interval [CI] = 1.19–1.92, p < .05), cues to action (OR = 1.63, 95% CI = 1.03–2.55, p < .05), and decreased with perceived barriers (OR = 0.68, 95% CI = 0.47–0.97, p < .01). Conclusions DCB of patients on hemodialysis requires improvement. Perceived self‐efficacy, cues to action, and perceived barriers constructs of the HBM should be considered in interventional programs targeting to increase oral health as well as in future research in the field.
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spelling doaj.art-122ce21ddde949329439164bb29596582023-08-21T15:34:09ZengWileyClinical and Experimental Dental Research2057-43472023-08-019461462210.1002/cre2.745Dental cleaning behavior and related factors among hemodialysis patients in the West of Iran: A cross‐sectional studyArezoo Fallahi0Aveen Fattah Hajimam1Azam Rahmani2Leila Allahqoli3Gerhard Schmalz4Babak Nemat5Department of Public Health, Social Determinants of Health Research Center, Research Institute for Health Development Kurdistan University of Medical Sciences Sanandaj IranDepartment of Nursing, College of Nursing Alkitab University Altun Kupri IraqDepartment of Midwifery, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery Tehran University of Medical Sciences Tehran IranIran University of Medical Sciences (IUMS) Tehran IranDepartment of Cariology, Endodontology and Periodontology University of Leipzig Leipzig GermanyHealth Network of Sanandaj Kurdistan University of Medical Sciences Sanandaj IranAbstract Objectives Oral health‐related behaviors in hemodialysis patients are reduced, potentially leading to adverse consequences. The aim of the present study was to evaluate dental cleaning behavior (DCB) and related factors among hemodialysis patients. Methods This cross‐sectional study was carried out in Sanandaj city, in the west of Iran in 2022. Using the census method, 115 hemodialysis patients from the dialysis center of Tohid Hospital were recruited. Data were gathered by a three‐section questionnaire. The first section included demographic characteristics, the second section involved variables related to the health belief model (HBM), and the third section assessed stages of DCB change based on the trans‐theoretical model. Analysis of data was done by assessing frequency, descriptive and inferential statistics such as t test, correlation coefficient, and regression. Results Only 26.1% of participants reported DCB, defined as tooth brushing at least twice daily; 30.4% were in the precontemplation stage, 26.1% in contemplation, and 17.4% in the preparation stage. Perceived self‐efficacy was lower among patients who did not perform DCB. The odds of DCB increased with perceived self‐efficacy (odds ratio [OR] = 1.51, 95% confidence interval [CI] = 1.19–1.92, p < .05), cues to action (OR = 1.63, 95% CI = 1.03–2.55, p < .05), and decreased with perceived barriers (OR = 0.68, 95% CI = 0.47–0.97, p < .01). Conclusions DCB of patients on hemodialysis requires improvement. Perceived self‐efficacy, cues to action, and perceived barriers constructs of the HBM should be considered in interventional programs targeting to increase oral health as well as in future research in the field.https://doi.org/10.1002/cre2.745behaviorbeliefsdental healthhemodialysis
spellingShingle Arezoo Fallahi
Aveen Fattah Hajimam
Azam Rahmani
Leila Allahqoli
Gerhard Schmalz
Babak Nemat
Dental cleaning behavior and related factors among hemodialysis patients in the West of Iran: A cross‐sectional study
Clinical and Experimental Dental Research
behavior
beliefs
dental health
hemodialysis
title Dental cleaning behavior and related factors among hemodialysis patients in the West of Iran: A cross‐sectional study
title_full Dental cleaning behavior and related factors among hemodialysis patients in the West of Iran: A cross‐sectional study
title_fullStr Dental cleaning behavior and related factors among hemodialysis patients in the West of Iran: A cross‐sectional study
title_full_unstemmed Dental cleaning behavior and related factors among hemodialysis patients in the West of Iran: A cross‐sectional study
title_short Dental cleaning behavior and related factors among hemodialysis patients in the West of Iran: A cross‐sectional study
title_sort dental cleaning behavior and related factors among hemodialysis patients in the west of iran a cross sectional study
topic behavior
beliefs
dental health
hemodialysis
url https://doi.org/10.1002/cre2.745
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AT leilaallahqoli dentalcleaningbehaviorandrelatedfactorsamonghemodialysispatientsinthewestofiranacrosssectionalstudy
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